Individual provider Active NPI

Amy Marie Wheeler, FNP-C

  • Family Nurse Practitioner
  • Jasper, GA
National Provider Identifier
1013253103
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN165493 Issued in GA
Practice address
134 Mountainside Village Pkwy BLDG 500
Jasper, GA 30143-8694
Phone
(404) 355-3200
Fax
(404) 350-8795
NPI assigned
Dec 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN165493 GA Primary

Addresses

Primary practice location

134 Mountainside Village Pkwy BLDG 500
Jasper, GA 30143-8694

Mailing address

3280 Howell Mill Rd NW Ste T100
Atlanta, GA 30327-4122
Phone (404) 355-3200

Other practice location 1

97 Hefner St Ste 203
East Ellijay, GA 30540-8268
Phone (706) 253-5514

Other identifiers 1

IdentifierTypeStateIssuer
003130264A/B/CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130212000475 GA Practitioner - Nurse Practitioner 6103070586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Healthcare of GeorgiaGroup PAC ID 7012904394, 33 clinicians

Practice addresses (Care Compare)

3280 Howell Mill Rd NW
Suite T100
Atlanta, GA 30327-4122
Phone 40460335431516

Hospital & facility affiliations

  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1013253103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE T100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274122",
            "telephone_number": "404-355-3200",
            "fax_number": "404-350-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MOUNTAINSIDE VILLAGE PKWY BLDG 500",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301438694",
            "telephone_number": "404-355-3200",
            "fax_number": "404-350-8795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Hefner St Ste 203",
            "address_purpose": "LOCATION",
            "city": "East Ellijay",
            "state": "GA",
            "postal_code": "305408268",
            "country_code": "US",
            "telephone_number": "706-253-5514",
            "fax_number": "404-350-8795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-18",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN165493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003130264A/B/C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

Verify at the official NPI Registry.